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5S Program Audit Scorecard Zone ______________ Date __________

5 POINTS 4 POINTS 3 POINTS 2 POINTS 1 POINT 0 POINTS

WORLD CLASS EXCELLENT GOOD MARGINAL POOR UNACCEPTABLE


Maintained for Maintained for Maintained for
3 months minimum 2 months minimum 1 month minimum

SORT
Every item in the area is Minimum clutter in the area. Limited clutter in the area. Some clutter is in area. A Area is generally cluttered. Area is very cluttered. Many
needed for regular work. Few if any unneeded items Only a few unneeded items small amount of excess items Quite a few unnecessary items items not required for regular
SORT SCORE No extraneous items are can be found in any storage can be found in the area. can be found but no major are found in the area including work are in the area including
found in any area location. location in the area. Required equipment is equipment items are missing items on shelves, on racks or excess supplies.
___________ available and in or out of place. in cabinets.
Only the minimum standard Less than 1 week of regularly ‘ready to go’ condition. 2 weeks or more of regularly 3 or more weeks of regularly
amounts of supplies are in required supplies are in 1 week or more of regularly required supplies are in required supplies are in Emergency equipment or
the area. the area. required supplies are in the area. the area. exits may be blocked.
the area.

STRAIGHTEN
Area is very well organized Area is well organized. All Area is well organized. Most Area is moderately organized. Area reflects an inadequate Area reflects a poor level of
with ‘a place for everything items have designated items have designated Many critical items have level of organization. Many organization with little or no
STRAIGHTEN and everything in its place’. locations and are stored locations and are stored designated locations but some items have no clearly evidence of designated
SCORE All regularly used items are appropriately. All equipment appropriately. Some may not. Designated storage designated location. Critical locations for basic/needed
stored in designated has designated storage spots, designated equipment spots for equipment are not safety equipment is not items. Safety hazards
convenient locations. chosen by need/usage. storage spots are labeled. labeled. Some visual controls adequately designated. may exist.
___________ Excellent visual Visual control use is broad. Many visual controls seen. are seen. A few visual controls No visual controls used.
controls are in evidence. are used.

SHINE
Every item in the area is in Every item in the area is clean Area and contents inside are The condition of the area and Area needs general cleaning. Area is very dirty. Possible
‘like new’ condition. The and functional. mostly clean and functional. the items inside is marginal. Some items in the area have compliance issues with
SHINE SCORE area is thoroughly cleaned not been cleaned recently. existing regulations. Floor
on a regular basis and is Floor condition is relatively Floor condition and waste Floor condition and waste condition and waste container
___________ kept in a spotless condition. Floors are clean and waste clean and waste containers container status is container status status is poor.
containers regularly emptied. only partially full. barely acceptable. needs attention.

STANDARDIZE
(SCHEDULE) There is an up to date 5S There is an up to date 5S Zone There is an up to date 5S Zone Although a 5S Zone map, There is no evidence that a 5S There is no evidence that any
Zone map, duty list and map, duty list and schedule map, duty list and schedule duty list and schedule exist; Zone map, a daily/weekly housekeeping task list and/or
schedule posted and posted and clearly followed. posted that may be followed. they are not posted duty list and schedule exist. schedule exists.
STANDARD rigorously followed. for reference.
SCORE There is evidence that 5S There is evidence that 5S There appears to be some There is some evidence that There is no evidence of even
duties are done regularly. 5S duties are done on compliance with the 5S 5S duties may be done but not informal 5S duties are done. informal 5S being done.
responsibilities are rotated a regular basis. schedule. to a schedule.
___________ consistently.

SUSTAIN
Clearly all levels of the Top management supports Adherence to the 5S effort is Adherence to the 5S effort in There is some evidence of There is clearly little or no
organization are dedicated to Zone leaders in their 5S not optional and is well the entire organization is commitment in the evidence of a commitment in
SUSTAIN sustaining the 5S program. sustaining efforts including managed by Zone leaders. evident but may be organization to sustaining 5S. the organization to
SCORE There is a regular leadership participation in Gemba random/uneven. sustaining 5S.
participation in Gemba reviews. Area is ‘audit Interest in sustaining is wide Interest in sustaining the 5S
reviews. All areas are ‘audit ready’ at some times spread in the organization. effort is focused at the Zone
___________ ready’ at all times. of the day. leadership level.

© 2009 Healthcare Performance Partners, LLC.

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